Psoriatic arthritis: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui a me nā ʻōuli
• He aha nā hoʻokolohua e hōʻoia ai i ka hōʻoia
• Nā ʻano o ka psoriatic arthritis
• Pehea e hana ai i ka lāʻau
• 1. Hoʻohana o nā anti-inflammatories
• 2. ʻoki kino
• 3. Nā kau Physiotherapy

ʻO ka psoriatic arthritis, ka mea i kapa ʻia he psoriatic a i ʻole he psoriasis, kahi ʻano o ka maʻi o ka maʻi mau i hiki ke ʻike ʻia i loko o nā hono o ka poʻe me ka psoriasis, kahi maʻi e hoʻopili maʻamau i ka ʻili, ʻano e ka helehelena o nā ʻulaʻula ʻulaʻula a ʻili.

ʻO nā ʻōuli nui o ka psoriatic arthritis, me ka loaʻa o nā pāʻulaʻula i ka ʻili, maʻa mau i ka psoriasis, e pili pū me ka pehu o nā hono, ka hoʻoliʻiliʻi o nā hono a me ka paʻakikī i ka neʻe ʻana iā lākou.

Hiki ke ʻike ʻia ka maʻi psoriatic i kēlā me kēia makahiki, akā ʻoi aku ka maʻamau o nā mākua ma waena o nā makahiki 30 a 50, me ka aneane 30% o ka poʻe i ʻike ʻia me ka psoriasis ma ka ʻili e hoʻomohala nei i kēia ʻano ʻānō. E ʻike i nā hōʻailona mua o psoriasis.

Nā hōʻailona nui a me nā ʻōuli

Nā hōʻailona a me nā ʻōuli e hōʻike paha i ka hoʻomohala ʻana o ka maʻi psoriatic:

• ʻO ka pehu a me ka deformity i nā hono i hoʻopili ʻia;
• Ka ʻeha a me ka paʻakikī i ka neʻe ʻana i nā hono i loli ʻia.
• Tendonitis;
• Ke kū ʻana o nā kiko ʻulaʻula ma ka ʻili, nā kui kuʻi a i ʻole nā ​​ʻili i ʻili a ʻili hoʻi;
• Nā loli i ka pae ocular, cardiac, pulmonary a me nā puʻupaʻa.

ʻO ka pinepine, ʻo nā hōʻailona mua o kēia ʻano ʻeha ka ʻeha a me ka paʻakikī i ka neʻe ʻana i nā hono, keu hoʻi i nā lima, me ka ʻole o ka pehu ʻana a i ʻole ke kū ʻana o nā kiko ma ka ʻili. No laila, ʻo ka poʻe i ʻeha i ka psoriasis a loaʻa nā hōʻailona e pili ana i nā pilikia hui e pono e nīnau i ke kauka nāna e mālama nei iā psoriasis e hōʻoia i ka hōʻoia a hoʻomaka i ka lāʻau kūpono kūpono.

He aha nā hoʻokolohua e hōʻoia ai i ka hōʻoia

Hana pinepine ʻia ke kuhi o ka psoriatic arthritis ma o ka loiloi ʻana i ka mōʻaukala olakino, ka nānā ʻana i nā lehelehe ʻili i hana ʻia e psoriasis a me kahi loiloi X-ray e kōkua ai e hōʻoia i ka maʻi kō.

Eia nō naʻe, he mea nui ka hoʻokolokolo ʻana i ka mea rheumatoid e hoʻokaʻawale iā ia mai ka rheumatoid arthritis, a he aha ka mea e hōʻike ai he hopena ka hopena o ka psoriasis inā ʻaʻole maikaʻi ke kumu rheumatoid a aia nā ʻōuli o ke kuamoʻo. Inā maikaʻi ka hopena o ke kumu rheumatoid, hōʻike pinepine ia he rheumatoid arthritis, a ʻaʻole pili i ka psoriasis.

Nā ʻano o ka psoriatic arthritis

Aia 5 mau ʻano nui o ka psoriatic arthritis:

• Symmetrical: Hoʻopili kēia ʻano i nā hono ma nā ʻaoʻao ʻelua o ke kino.
• Asymmetric: I kēia ʻano, he kaulike nā ʻōuli, e loli pinepine nei i ka palena o 4 ami ma nā ʻaoʻao ʻelua o ke kino.
• ʻO Mutilating Arthritis: ʻO kēia ke ʻano ʻoi loa o ka hakakā a hana i ka luku ʻana i nā hono o nā lima a me nā wāwae, ʻo ka mea hoʻi e hoʻopili ana i nā manamana lima;
• Spondylitis: Hoʻohālikelike ʻia kēia ʻano e ka ʻoʻoleʻa o ka ʻāʻī a me ka iwi kuamoʻo.
• ʻO Promininant distal interphalangeal: Kuhi ʻia kēia ʻano e ka ʻoʻoleʻa i nā hono o nā manamana a me nā manamana wāwae. Hiki i nā deformities kui ke hoʻomohala.

Hiki i ka rheumatologist ke hoʻomaopopo i ke ʻano o ka maʻi o ke kanaka i loaʻa iā ia a hōʻike i ka lāʻau maikaʻi loa no kēlā me kēia hihia.

Pehea e hana ai i ka lāʻau

ʻAʻohe lāʻau i kēia manawa ʻo Psoriasis, no laila mālama ʻia ka mālama ʻana i ka hōʻemi ʻana a me ka kaohi ʻana i nā ʻōuli a he mea nui e pale aku i ka maʻi mai ʻino aʻe.

No laila, ʻo kekahi o nā alakaʻi alakaʻi mua e hana i nā loli nohona e kōkua ai i ka pale ʻana i nā mea pilikia e like me ka momona, hypertension a i ʻole diabetes, me ka puhi ʻana i ka paka a me nā lāʻau ʻē aʻe, a me ka hana maʻamau o ka hoʻoikaika kino a me ka meaʻai. Kaulike.

Eia kekahi, ʻo nā koho lapaʻau ʻē aʻe e pili pū me:

1. Hoʻohana o nā anti-inflammatories

ʻO nā lāʻau nui i hoʻohana ʻia no ka maʻi nā lāʻau anti-inflammatory non-steroidal e like me Ibuprofen a i ʻole Naproxen, i ʻae i ka hoʻomaikaʻi ʻana i nā hōʻailona a me nā hōʻailona o ka maʻi i ka wā pōkole, e hoʻomaha ana i ka pilikia.

I nā hihia ʻoi loa, a i ʻole ke kūleʻa ʻole ʻana o ka lāʻau lapaʻau me nā lāʻau anti-inflammatory, hiki ke hoʻohana ʻia i kekahi ʻano lāʻau ʻē aʻe, ʻo ka hapanui o nā corticosteroids a me nā hoʻololi o ka papa maʻi, e like me sulfasalazine, methotrexate a i ʻole cyclosporine.

2. ʻoki kino

Hōʻike ʻia ke ʻoki kino no ka maʻi o psoriatic i ka wā e ikaika loa ai ka maʻi a kumu e hōʻino pū ʻia. ʻO ke kumu o ke kaha ʻana e hoʻomaikaʻi a hoʻololi paha i ka ami ʻeha, hoʻomaikaʻi i ka maikaʻi o ke ola.

3. Nā kau Physiotherapy

ʻO ka physiotherapy kekahi ʻāpana nui loa o ka mālama ʻana, no ka mea, aia nā hana i hiki ke hana ʻia e kōkua ai i ka hoʻomaikaʻi ʻana i nā neʻe ʻana, e hōʻoluʻolu i nā hōʻailona tendonitis a hoʻomaikaʻi i ka maikaʻi o ke ola ma ka laulā. E nānā i nā ʻano o nā hana i hiki ke kōkua.

No laila, ʻo ka maikaʻi ke hana ʻia me ka hui multidisciplinary, i hoʻokumu ʻia e ka hui olakino, me kahi rheumatologist, orthopedist a me ka mea hana maʻamau, a me kahi mea hoʻoponopono kino, psychologist a me nā ʻoihana olakino ʻē aʻe i hiki ke kōkua i ka hoʻomaikaʻi ʻana i ka maikaʻi. o ke ola.